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维持性血液透析患者透析后疲劳的中医治疗研究进展
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Abstract:
透析后疲劳(PDF)是指血液透析患者透析治疗结束后出现的疲劳感或筋疲力尽的感觉，需要睡眠与休息一定时间才能恢复，是维持性血液透析患者常见的并发症之一。PDF的发生对患者的日常生活质量及预后有着严重的负面影响，随着透析技术与医疗水平的进步，其发生率并未明显降低。目前，关于PDF的相关研究较少，其评估主要依赖于主观自评量表，由于其病理生理机制尚未明确，临床上尚缺乏有效的治疗措施。因此，本文概括了维持性血液透析患者PDF的评估工具、影响因素，阐述了PDF的中医治疗措施，包括中药、针刺、艾灸、穴位按摩、穴位埋线和养生运动功法等，以期为临床上寻找改善PDF的有效干预措施提供依据，达到提高透析患者的治疗依从性及生活幸福感的目的。
Post-dialysis fatigue (PDF) refers to the feeling of fatigue or exhaustion after dialysis treatment in hemodialysis patients, which requires sleep and rest for a certain period of time to recover, and is one of the common complications in maintenance hemodialysis patients. The occurrence of PDF has a serious negative impact on the quality of daily life and prognosis of patients, and with the progress of dialysis technology and medical level, its incidence has not been significantly reduced. At present, there are few relevant studies on PDF, and its evaluation mainly relies on subjective self-rating scale. Due to its unclear pathophysiological mechanism, there is still a lack of effective clinical treatment measures. Therefore, this paper summarizes the evaluation tools and influencing factors of PDF in maintenance hemodialysis patients, and expounds the TCM treatment measures of PDF, including traditional Chinese medicine, acupuncture, moxibustion, acupressure, acupoint embedding and health exercise, etc., in order to provide evidence for effective intervention measures to improve PDF in clinic, and achieve the purpose of improving the treatment compliance and life happiness of dialysis patients.
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